Workers' Compensation Claims Specialist

Orange, CA

Job Overview We are seeking a detail-oriented Compensation Specialist to join our team. The ideal candidate will have experience with workers' compensation claims and the ability to handle sensitive employee information. Responsibilities Maintain current knowledge of Workers’ Compensation system, issues, and processes Maintain company Workers’ Compensation Management Program policies and practices. Coordinate with the Workers’ Compensation Claims Manager, insured employers, employees, health care providers, and insurance carriers. Review, analyze, and monitor Workers’ Compensation claim data, on behalf of company and clients. Attend, participate, and advocate for client employers in claim review meetings. Prepare and provide in-person client claim review presentations, as needed. Maintain and prepare OSHA-required injury and illness records for client employers in our Workers’ Compensation Management program. Assist client employers with coordination and implementation of Medical Provider Networks. Conduct Workers’ Compensation Best Practices and Injury Report training workshops for clients. In the claims database system, maintain and update daily Workers' Compensation activities, such as the claims activity diary. Provide clients employers support and guidance investigating injuries, settlement negotiations, developing interactive processes, and return to work strategies. Prepare and maintain client employer Workers’ Compensation injury report packets. Help with receiving, reviewing, and processing new injury reports, as needed. Monitor and report the appropriate usage of leave relative to Workers' Compensation benefits (i.e., track and report lost workdays). Forward new injury reports and claims to senior Risk Management personnel as necessary for evaluation of loss control involvement. In the claims database system, maintain and prepare relevant Workers' Compensation documentation (e.g., injury report forms, doctors' notes, claim acknowledgments). Maintain company Workers' Compensation insurance carriers' reporting information in the company's shared environment. Prepare estimated experience mod worksheets, as needed. Assume other job responsibilities as assigned Qualifications Bachelor’s degree or an equivalent combination of education and insurance experience. Minimum eight (8) years of Workers’ Compensation insurance claims experience. Workers' Compensation Claims Administration (WCCA) and/or Workers' Compensation Claims Professional (WCCP) designation Communicate effectively in English, in written, oral or schedule form with others Maintain cordial and effective relationships with clients, co-workers, carriers, vendors and other business contacts Analytical and Mathematical skills Ability to solve practical problems Time management and organizational skills Computer literate Available and eligible to travel by all transportation methods, as needed

WHAT WE OFFER:

Competitive pay Paid Time Off Health Insurance (Medical, dental, life) Supplemental Insurance Plans Flexible Spending Accounts 401K Plan Flexible scheduling

Posted 2026-01-29

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